Individual provider Active NPI

Alison Corinne Foster, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1598894610
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3312652 Issued in FL
Practice address
3903 Northdale Blvd Ste 100E
Tampa, FL 33624-1862
Phone
(813) 998-5582
Fax
(949) 660-5017
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3312652 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X 3312652 FL Primary

Addresses

Primary practice location

3903 Northdale Blvd Ste 100E
Tampa, FL 33624-1862

Mailing address

2912 Cedaridge Dr
Tampa, FL 33618-1422
Phone (813) 340-5615

Other practice location 1

2912 Cedaridge Dr
Tampa, FL 33618-1422
Phone (813) 340-5615

Other names 1

  • Mrs. Alison Corinne Brazeau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000121 FL Practitioner - Nurse Practitioner 8224137203 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3312652FLMDAdult Health Nurse Practitioner
3312652FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1598894610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 CEDARIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181422",
            "telephone_number": "813-340-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD STE 100E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241862",
            "telephone_number": "813-998-5582",
            "fax_number": "949-660-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2912 CEDARIDGE DR",
            "address_purpose": "LOCATION",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181422",
            "country_code": "US",
            "telephone_number": "813-340-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ALISON",
        "middle_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3312652",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3312652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "BRAZEAU",
            "middle_name": "CORINNE",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.